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Minerva Chirurgica 2003 February;58(1):57-66

language: Italian

Surgical treatment of anal fistulas. Personal experience on 1,000 patients over a 20-year period

Giordano M., Rebesco B., Blanco G., Torelli I.


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Background. Considering their long experience acquired during the period October 1981 and October 2001 related to the treatment of 1,000 patients suffering from anal fistulas, the authors reasses the problem of this affection from an etiopathogenic, classifying, diagnostic and therapeutic point of view.
Methods. Surgical treatment of Arnous's French School was performed; these methods foresee the division of the operative times and slow sphincteric sectioning by an elastic constriction.
Results. Results were excellent: 99.2% of complete recoveries and very few failures and complications: 0.5% incomplete recovery, 0.3% relapse, 1.3% soiling, 1.5% gas temporary incontinence.
Conclusions. The main premise to obtain the patient's recovery is to perform a faultless technique and to follow assiduously and minutely the long postoperative period of surgical wounds.

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